Individual
DR. ROGER P COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
395 S MAIN ST, MANCHESTER, NH 03102
(603) 669-0447
(603) 669-0850
Mailing address
395 S MAIN ST, MANCHESTER, NH 03102
(603) 669-0447
(603) 669-0850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
NH0237
NH
152W00000X
Optometrist
Primary
NH237
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0907760Y0NH01
BCBS
—
05
—
80587760
—
NH
01
—
8730
CIGNA
—
01
—
NA1147
HARVARD PILGRIM
—
Enumeration date
12/22/2006
Last updated
07/08/2008
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